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pre-ACA, medical expenses were the biggest cause of personal bankruptcy, including middle class insured people. Post-ACA, that fell by 50% - it halved. I know that bankruptcy doesn't necessarily mean that people die as was your question, but don't you think this is a positive result?

As I've often said here, we should have a way to provide medical care - not insurance - for those who truly can't afford it.

However, if someone who stood to lose a lot of money (to lose it - you have to have it) was walking around before ACA without catastrophic medical insurance, then I really don't have much sympathy for that person. Governments can't legislate basic common sense.